A continuing report of the effect of acrylic resin root implants on the preservation of the alveolar process or the prevention of its loss subsequent to tooth extractions was presented. This report was made 20 months after the insertion of the acrylic resin root implants and the contour changes both labially and palatally were presented together with radiographs of the implants with the bony changes observed. The presence of the resin implants seems to lessen the contour changes occurring over the period of observation both on the labial and palatal surfaces as compared with the control sites. The radiographs suggest the implants are now sealed" within a bony framework. The absence of clinical manifestations of pathology at any stage of the 20 month period seems to indicate a favorable acceptance of the implants by the tissues. © 1969 The C. V. Mosby Company All rights reserved."